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Inspection visit

Follow-up

PACIFICA SENIOR LIVING UNION CITYLicense 0192005092 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 2/17/2022 at 3:00PM, Licensing Program Analysts (LPAs) G. Luk and K. Nguyen arrived unannounced to conduct a case management visit. LPAs met with Administrator, Anoop Nair. While LPAs were conducting a complaint investigation to deliver findings, the following deficiency was observed. During complaint investigation, it was identified that R1 did not have an updated medical assessment on file. R1's medical assessment on file was dated 3/20/2019. Additionally, facility did not submit a death report for resident who expired and was tested positive for COVID-19. During the facility's outbreak, staff did not report positive cases to CCLD per reporting guidelines outlined in Title 22. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights were provided.

Citations

3 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87211(a)(1)Type B

    Reporting Requirements. A written report shall be submitted to the licensing agency...within seven days of the occurrence of any of the events... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by not reporting COVID positive cases and submit death reports which poses a potential health and safety risk to the persons in care.

  • 87705(c)(5)Type B

    Care of Persons with Dementia. Each resident with dementia shall have an annual medical assessment...at least annually... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by not having an updated medical assessment for R1 which poses a potential health and safety risk to the persons in care.

  • 87468.2(a)(19)Type B

    Additional Personal Rights of Residents in Privately Operated Facilities. To have prompt access to review all of their records and...Photocopied records shall be provided within two (2) business days... This requirement was not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not providing a copy of care plan to R1's responsible party which poses a potential health and safety risk to the persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 17, 2022 inspection of PACIFICA SENIOR LIVING UNION CITY?

This was a other inspection of PACIFICA SENIOR LIVING UNION CITY on February 17, 2022. 2 citations were issued: 2 Type B.

Were any citations issued to PACIFICA SENIOR LIVING UNION CITY on February 17, 2022?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Reporting Requirements. A written report shall be submitted to the licensing agency...within seven days of the occurrenc..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.